Active NPI
Malina Campos, FNP-C
- Nurse Practitioner
- Schaumburg, IL
National Provider Identifier
1518513191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.019599
- Practice address
- 919 N Plum Grove Rd Ste a
Schaumburg, IL 60173-4760 - Phone
- (847) 469-4612
- NPI assigned
- Aug 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.019599 | IL | Primary |
Addresses
Primary practice location
919 N Plum Grove Rd Ste a
Schaumburg, IL 60173-4760
Mailing address
320 Longview Dr
Elgin, IL 60124-1219
Phone (630) 802-9339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.019599 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1518513191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LONGVIEW DR",
"city": "ELGIN",
"state": "IL",
"postal_code": "601241219",
"telephone_number": "630-802-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N PLUM GROVE RD STE A",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734760",
"telephone_number": "847-469-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "MALINA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-10",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.019599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.